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NE Sec of State - Robert B. Evnen <br />Filing Document #: 2105000947-0 <br />Debtor Name: RONALD F KING <br />Filing Date and Time: 05/20/2021 10.54 AM <br />Pages: 1 <br />202104249 <br />Form <br />R v. 1O-70001 668 (Z) <br />IRev <br />17489 Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />Area: <br />Serial Number <br />For Use by Recording Office <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 <br />844339712 <br />I certify that the following -named taxpayer, under the requirements of section 6325 (a) <br />of the Internal Revenue Code has satisfied the taxes listed below and all statutory <br />additions. Therefore, the lien provided by Code section 6321 for these taxes and <br />additions has been released. The proper officer in the office where the notice of <br />internal revenue tax lien was filed <br />on February 02 <br />2012 <br />, is authorized to note <br />the books to show the release of this lien for <br />these taxes and <br />additions. <br />Name of Taxpayer <br />RONALD F KING <br />KINGS :3AR & GRILL <br />Residence 2 615 W CHARLES ST <br />GRAND ISLAND, NE 68803-5702 <br />COURT RECORDING INFORMATION: <br />Liber Page UJ,C_...N.o.___.__ Serial No. <br />n/a n/a '9912684072-92; 201200891 <br />Tax Period <br />Date of <br />Last Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Refiling <br />of Assessment <br />(a) <br />(b) <br />(ci <br />(dl <br />(eJ <br />(f) <br />940 <br />12/31/2009 <br />XX-XXX2920 <br />12/26/2011 <br />01/25/2022 <br />1277.70 <br />941 <br />03/31/2008 <br />XX-XXX2920 <br />01/02/2012 <br />02/01/2022 <br />2286.81 <br />941 <br />06/30/2008 <br />XX-XXX2920 <br />01/02/2012 <br />02/01/2022 <br />2081.46 <br />941 <br />09/30/2008 <br />XX-XXX2920 <br />01/02/2012 <br />02/01/2022 <br />2020.27 <br />941 <br />12/31/2008 <br />XX-XXX2920 <br />01/02/2012 <br />02/01/2022 <br />2321.54 <br />941 <br />03/31/2009 <br />XX-XXX2920 <br />01/02/2012 <br />02/01/2022 <br />1624.06 <br />941 <br />06/30/2009 <br />XX-XXX2920 <br />01/02/2012 <br />02/01/2022 <br />1324.57 <br />941 <br />09/30/2009 <br />XX-XXX2920 <br />01/02/2012 <br />02/01/2022 <br />965.66 <br />941 <br />12/31/2009 <br />XX-XXX2920 <br />01/02/2012 <br />02/01/2022 <br />955.27 <br />941 <br />03/31/2010 <br />XX-XXX2920 <br />01/02/2012 <br />02/01/2022 <br />1044.71 <br />941 <br />06/30/2010 <br />XX-XXX2920 <br />01/02/2012 <br />02/01/2022 <br />704.75 <br />941 <br />09/30/2010 <br />XX-XXX2920 <br />01/02/2012 <br />02/01/2022 <br />714.07 <br />941 <br />12/31/2010 <br />XX-XXX2920 <br />01/02/2012 <br />02/01/2022 <br />937.30 <br />941 <br />03/31/2011 <br />XX-XXX2920 <br />01/02/2012 <br />02/01/2022 <br />802.78 <br />941 <br />06/30/2011 <br />XX-XXX2920 <br />01/02/2012 <br />02/01/2022 <br />144.07 <br />*********************************r**************************** <br />* * * * * * * * * * * <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 19205.02 <br />Grand Island, NE 68802-1692 <br />This notice was prepared and signed at ______ <br />the <br />21st day of April , 2021, <br />CHICAGO, IL <br />, on this, <br />Signature <br />a„.tr <br />Title <br />Operations Manager, <br />Centralized Lien Operation <br />(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of <br />Federal Tax lien Rev. Rul. 71-466, 1971 2 C.B. 409) Form 668 (Z) (Rev. 10-2000) <br />Part I - RECORDING OFFICE CAT. NO 600261 <br />